Patient Access Representative-CMC Immediate Care Center - Spartanburg Regional Healthcare System

Position Summary

The Patient Access Representative position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process.

Minimum Requirements

Education:

• High School graduate or equivalent.

Experience:

• One-year experience in healthcare access, customer service, office and/or financial setting

License/Registration/Certifications

• N/A

Preferred Requirements

Preferred Education

• Associates Degree

Preferred Experience

• Minimum 3 years’ experience in healthcare access, customer service, office and/or financial setting.

Preferred License/Registration/Certifications

N/A

Core Job Responsibilities

• Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter
• Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
• Verification and review of insurance benefits and financial clearance for all payors at each encounter
• Works in conjunction with the Centralized Referral Center to ensure prior-authorizations have been obtained
• Research and resolve all registration occurrences for demographic, clinical and insurance accuracy
• Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices
• Accurately complete patient estimate letter and attempt cash collection when applicable and process patient payments for account posting
• Responsible for practicing AIDET in all customer/patient related encounters
• Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols
• Completes clinical screening for specified modalities to ensure patient safety
• Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes
• Ability to obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered
• Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit
• Excellent typing/keyboarding skills with a high degree of accuracy in inputting data
• Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes
• Must possess excellent oral and written communication skills
• Ability to complete detailed oriented work
• Must possess a positive attitude and work well as part of a team as well as independently.
• Ability to maintain confidentiality and handle sensitive information.
• Perform duties and adhere to requirements of Rural Health Clinic Standards as they relate to Corporate Compliance, Human Resources, Infection Prevention, Equipment Maintenance, Quality, and Regulatory Management.
• Possess a wide knowledge of resources available within the community.
• Possess ability to adapt to the resources that are available.
• Possess the ability to use innovative and creative solutions to manage challenges in the Rural Health Clinic.
• Performs other duties assigned by department supervisor or manager

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